title: Anxiety, posttraumatic stress, and fear of cancer progression in patients with melanoma in cancer aftercare.
abstract: Several studies have described mental distress and anxiety in patients with melanoma. The findings of these studies varied from patients with a quality of life similar to the general population and those with increased mental distress. In the present study, we investigated anxiety, posttraumatic stress, and fear of cancer progression to gain a detailed picture of the burdens of these patients.
  
  
  METHODS
  70 patients with malignant melanoma who attended cancer aftercare were surveyed using the psychometric instruments Hospital Anxiety and Depression Scale (HADS), Posttraumatic Symptom Scale (PTSS-10), and Fear of Progression Questionnaire (FoP-Q). The questionnaires were evaluated and an analysis of the single items carried out.
  
  
  RESULTS
  The scores for the three anxiety parameters were low, but 7% of the patients presented an increased HADS score, and 17% an increased PTSS-10 value. An analysis of the items showed that patients feared physical disabilities more than mental distress or lack of social support.
  
  
  CONCLUSIONS
  Most of the patients perceived themselves as stable, and relied on the assistance of their families. However, a small group of patients suffered from clinically relevant anxiety; these patients should be given the support indicated for their specific distress.
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Essen, Germany.
authors.forename: Yesim
authors.initials: Y
authors.lastname: Erim
authors.forename: Carmen
authors.initials: C
authors.lastname: Loquai
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schultheis
authors.forename: Marion
authors.initials: M
authors.lastname: Lindner
authors.forename: Mingo
authors.initials: M
authors.lastname: Beckmann
authors.forename: Corinna
authors.initials: C
authors.lastname: Schadendorf
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Senf
mesh_terms: D000359:Aftercare; D017677:Age Distribution; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D015897:Comorbidity; D005239:Fear / Q000523:psychology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008545:Melanoma / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D011594:Psychometrics / Q000379:methods; D018570:Risk Assessment; D017678:Sex Distribution; D012878:Skin Neoplasms / Q000453:epidemiology* / Q000523:psychology; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology